Research on Intervention Strategies for Palliative Care Decision-Making in Terminal Cancer Patients Based on Dual-Process Theory of Behavioral Economics
- VernacularTitle:基于行为经济学双系统理论的终末期癌症患者安宁疗护决策干预策略研究
- Author:
Furong TIAN
1
,
2
;
Zehui LIU
;
Genyong ZUO
Author Information
1. 山东大学齐鲁医学院公共卫生学院卫生管理与政策研究中心 山东 济南 250012
2. 国家卫生健康委员会卫生经济与政策研究重点实验室(山东大学) 山东 济南 250012
- Keywords:
terminal cancer patient;
palliative care;
behavioral economics;
dual-process theory;
decision-making
- From:
Chinese Health Economics
2024;43(11):64-67
- CountryChina
- Language:Chinese
-
Abstract:
Objective:From the perspective of behavioral economics,it analyzes the reasons for the low utilization rate of palliative care and propose intervention measures,to promote the acceptance and application of palliative care by terminal cancer patients and their families.Methods:Using the theories and methods of behavioral economics to explore how cognitive and behavioral biases lead to irrational medical decisions in the choice of palliative care;based on the dual-process theory and nudge method,it aims to construct an intervention model for"palliative"care decision-making and propose intervention strategies.Results:Terminal cancer patients and their families with bounded rationality tend to prefer short-term aggressive treatment plans while making decisions,and use the extension of survival as the decision anchor point,weakening the influence of quality of life factors.The lack of sound mechanisms related to palliative care will further increase the cognitive bias of cancer patients and their families,putting them in a negative choice framework and risking losses,leading to the abandonment of more rational palliative care plans.Conclusion:By adopting the"perceptual-rational"thinking from the dual-process theory,transforming inter-temporal selection into the most cost-effective option,anchoring treatment expectations to patients'quality of life,increasing the value of palliative care benefits,and constructing a supportive selection framework as a target for intervention,it can help promote the use of palliative care.
